{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ALEGNAELAEB D","gend":1,"add":"NNERW 377A TPA DR ","city":"SMITHFIELD","state":"VA","zip":23430,"dob":"1970-04-22","age":"","mstatus":"","insh":"3680110*75","cliId":"","pno":"-9723040","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/388-3198","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23430,"pcpcounty":"","pcpid":"","pcpname":"Select Specialty Hospital","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.571","S93.401A","M79.671","B07.0","L98.9","L30.9","M79.672","S93.491A","R60.0","M65.871","Z01.818","R19.01","R22.41","F43.9","F17.200","N39.0","M75.42","M25.552","H92.01","H93.11","M25.511","E11.9","Z87.891","I10.","E66.01","Z68.41","Z88.8","M54.6","M54.2","M25.512","E11.621","R09.89","L97.411","E11.65","Z00.00","R60.9","R74.8","G89.29","K64.8","K64.3","K64.9","E11.42","K21.9","B19.20","Z01.812","Z20.822","D17.1","D17.23","B07.9","L21.8","L30.1","S99.911A","R39.15","F07.81","R07.9","D50.0","K62.5","R00.0","R06.09","NO DATA","Z79.4","Z79.899","D17.9","D25.9","E55.9","F33.1","F41.1","F43.11","E78.2","G47.33","M79.604","R94.31","M79.605"],"date":["2020-12-30","2020-12-30","2022-04-20","2022-05-04","2022-05-04","2022-04-20","2022-04-20","2020-12-08","2022-10-30","2020-10-20","2021-03-17","2021-04-28","2021-03-17","2021-08-11","2022-10-11","2021-09-15","2022-01-03","2022-01-03","2022-01-03","2022-01-03","2022-08-09","2022-01-03","2022-01-03","2022-10-11","2022-08-09","2022-08-09","2022-01-03","2022-03-07","2022-03-07","2022-10-11","2022-03-16","2022-03-08","2022-03-16","2022-10-11","2022-08-09","2022-10-11","2022-08-09","2022-08-09","2021-02-05","2021-02-05","2021-02-05","2022-03-16","2021-03-16","2021-03-16","2021-04-28","2021-04-28","2021-04-30","2021-04-30","2022-05-04","2022-07-21","2022-07-21","2020-09-18","2021-09-15","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-09-16","2020-09-16","2020-09-16","2020-09-16","2020-09-16","2021-04-30","2021-04-30","2022-03-16","2022-11-03","2022-11-03","2022-11-03","2022-10-11","2022-10-11","2022-10-30","2022-10-30","2022-10-26"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}